PRC Director: Strategic Referrals & Budget Leadership

Ketchikan Indian Community

Alaska

On-site

USD 89,615 - 169,706

Full time

14 days+

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Job summary

The Purchased and Referred Care (PRC) Director at KIC Tribal Health Clinic oversees the PRC department, ensuring efficient utilization of resources to provide healthcare services to eligible American Indian and Alaska Native patients. You will plan, direct, and coordinate medical referral services, financial operations, and compliance with IHS policies and CFR42.

This leadership role establishes production standards, defines operating procedures, coordinates with other departments to optimize

Qualifications

  • Experience leading a health services program or department.
  • Knowledge of PRC/Medicare-like rate structures and billing.
  • Ability to collaborate with providers, hospitals, and payors.

Responsibilities

  • Oversee PRC department operations and budgeting.
  • Coordinate patient referrals to meet PRC requirements.
  • Ensure access to health insurance programs for patients.
  • Monitor expenditures and optimize PRC funding.
  • Develop and enforce PRC policies and procedures.

Skills

Leadership
Healthcare finance
Policy compliance
Communication

Job description

The Purchased and Referred Care (PRC) Director at KIC Tribal Health Clinic oversees the PRC department, ensuring efficient utilization of resources to provide healthcare services to eligible American Indian and Alaska Native patients. You will plan, direct, and coordinate medical referral services, financial operations, and compliance with IHS policies and CFR42.

This leadership role establishes production standards, defines operating procedures, coordinates with other departments to optimize

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